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目的:探讨宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变(CIN)的临床价值。方法:对2010年1月至2011年1月经阴道镜下宫颈活检诊断为CIN的150例患者采用LEEP宫颈锥切,观察手术时间、术中出血量,并比较术前阴道镜下活检病理结果与LEEP术后病理结果。结果:LEEP治疗CIN平均时间6.9分钟,出血量9.5ml,患者LEEP术前、后病理诊断级相符81例(54%),升高38例(25.3%),降低31例(20%),病理诊断差异具有显著性(P<0.01)。结论:LEEP术是诊断及治疗CIN病变的一种安全有效的方法,具有较高的临床推广应用价值。
Objective: To investigate the clinical value of cervical ring excision (LEEP) in the treatment of cervical intraepithelial neoplasia (CIN). Methods: From January 2010 to January 2011, 150 cases of CIN diagnosed by colposcopic biopsy under cervical colposcopy were treated with LEEP conization of the cervix. The operative time and blood loss were observed. The biopsy results were compared with those before colposcopy LEEP pathological results. Results: The average time of CIN in LEEP treatment was 6.9 minutes and the bleeding amount was 9.5ml. The pathological diagnosis level of LEEP was 81 cases (54%), 38 cases (25.3%) higher, 31 cases (20%) lower, The difference was significant (P <0.01). Conclusion: LEEP is a safe and effective method for diagnosis and treatment of CIN. It has high clinical value.